When one or more bones surrounding the eye are broken, the condition is called orbital fracture. The orbit is the bony structure around the eye. An orbital fracture usually occurs after some type of injury or a strike to the face. Depending on where the fracture is located, it can be associated with severe eye injury and damage.
The following are the most common symptoms of an orbital fracture. However, each child may experience symptoms differently. Symptoms may include:
Swelling of the eyelid
Bruising around the eye
Pain in the eye
Decreased movement of the affected eye
The symptoms of an orbital fracture may resemble other eye conditions or medical problems. Always consult your child's doctor for a diagnosis.
Diagnosis is usually made after a complete medical history and physical examination of your child. In addition, your child's doctor may also order the following tests to help confirm the diagnosis:
X-ray. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
Computed tomography scan (also called a CT or CAT scan). A diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general X-rays.
Specific treatment for an orbital fracture will be determined by your child's doctor based on:
Your child's age, overall health, and medical history
Extent of the injury
The location of the fracture
Associated double vision that persists or association with eye muscle entrapment
Your child's tolerance for specific medications, procedures, or therapies
Your opinion or preference
Treatment may include:
A consultation with an ophthalmologist (doctor who specializes in comprehensive eye care) may be necessary for a complete evaluation of the eye.
Some fractures do not have to be treated immediately. Depending on the injury, time may be allowed for the swelling and bruising to go away before the fracture is treated.
Usually, the double vision will resolve without treatment in three to four days.
Surgery may be indicated for severe fractures, or if there is involvement of the eye. Surgery may be performed immediately, or up to several days after the trauma.